Cross-talk between G protein-coupled receptors and receptor tyrosine kinase signaling pathways is crucial to the efficient relay and integration of cellular information. Here we identify and define the novel binding interaction of the E3 ubiquitin ligase atrophin-interacting protein 4 (AIP4) with the GTP exchange factor -p21-activated kinase-interactive exchange factor (PIX). We demonstrate that this interaction is mediated in part by the PIX-SH3 domain binding to a proline-rich stretch of AIP4. Analysis of the interaction by isothermal calorimetry is consistent with a heterotrimeric complex with one AIP4-derived peptide binding to two PIX-SH3 domains. We determined the crystal structure of the PIX-SH3⅐AIP4 complex to 2.0-Å resolution. In contrast to the calorimetry results, the crystal structure shows a monomeric complex in which AIP4 peptide binds the PIX-SH3 domain as a canonical Class I ligand with an additional type II polyproline helix that makes extensive contacts with another face of PIX. Taken together, the novel interaction between AIP4 and PIX represents a new regulatory node for G protein-coupled receptor and receptor tyrosine kinase signal integration. Our structure of the PIX-SH3⅐AIP4 complex provides important insight into the mechanistic basis for PIX scaffolding of signaling components, especially those involved in cross-talk.Two prominent transmembrane receptor families facilitate cellular communication with the extracellular environment: G protein-coupled receptors (GPCRs) 4 and receptor tyrosine kinases (RTKs). A wide array of ligands bind to these receptors to orchestrate signaling networks integral to many cellular functions. Internalization and degradation of receptor molecules from both families regulate signal duration and termination (1, 2). E3 ubiquitin ligases, which catalyze the ubiquitination of receptors, control intracellular sorting, recycling, and degradation (3-5). Representative E3 ligases include atrophininteracting protein 4 (AIP4), which ubiquitinates the GPCR chemokine receptor CXCR4 (6) and Cbl (Casitas B-lymphoma protein), which ubiquitinates the RTK epidermal growth factor (EGF) receptor (7-9). The importance of signal termination control is exemplified by recent work implicating prolonged signaling as a cause of cellular transformation (10, 11). In addition to mediating the ubiquitination and sorting of CXCR4, a number of recent studies detail the regulatory role AIP4 plays in developmental, immunological, and oncogenic signaling pathways (12-18). The AIP4/Itch protein is composed of an N-terminal C2 domain, followed by a proline-rich region, four WW domains, and a C-terminal catalytic HECT domain (3,4,12,13). AIP4 is abundantly expressed in most human tissues and displays tissue specificity similar to that of Cbl (19).-PAK-interactive exchange factor (PIX also referred to as Cool-1) is composed of modular domains, including an N-terminal SH3 domain followed by DH (Dbl, diffuse B-cell lymphoma homology) domain, PH (pleckstrin homology) domain, and a leucine...